Medical students, especially those in postgraduate training, face a complex array of challenges such as fatigue; work-life balance conflicts; difficulties managing dual hierarchies (hospital and university). Surprisingly, residents receive little to no dedicated training in recognizing and managing psychiatric disorders, except for psychiatry residents. This gap is exacerbated by persistent stigma towards psychiatric conditions. The Mental Health First Aid (MHFA) training approach could offer an innovative solution, addressing the root of the problem. This prospective, single-center cohort study aims to compare (1) the mental well-being of first-year specialty residents in the Lyon subdivision exposed to MHFA-trained peers; with (2) the mental well-being of unexposed second-year specialty residents. The hypothesis is that exposure to peers trained in MHFA improves well-being and reduces symptoms of burnout, depression, and anxiety at 3, 6, 9, and 12 months among peer residents.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
520
Exposition to trained peer-support registrars for a year
Service des Urgences Psychiatriques Hôpital Edouard Herriot, GH Centre
Lyon, France, France
Well-being
As measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale), a self-questionnaire. 5 point Likert scale (1-4); 14 questions
Time frame: Measured at Month 12
Well-being
As measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale), a self-questionnaire. 5 point Likert scale (1-4); 14 questions
Time frame: Measured at baseline, Month 3, Month 6 and Month 9
Anxiety
As measured by anxiety subscore of the HAD (Hospital Anxiety and Depression scale), a self-questionnaire. 4 point Likert scale (0-3); 7 questions
Time frame: Measured at baseline, Month 3, Month 6, Month 9, Month 12
Depression
As measured by depression subscore of the HAD (Hospital Anxiety and Depression scale), a self-questionnaire. 4 point Likert scale (0-3); 7 questions
Time frame: Measured at baseline, Month 3, Month 6, Month 9, Month 12
Burn-out
As measured by the MBI (Maslach Burnout Inventory), a self-questionnaire. 7 point Likert scale (0-6); 22 questions.
Time frame: Measured at baseline, Month 3, Month 6, Month 9, Month 12
Impact on well-being according to gender
Differentiated impact on well-being according to gender measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale, a self-questionnaire. 5 point Likert scale (1-4); 14 questions), analyzed via Group x Gender interaction effect.
Time frame: Measured at baseline, Month 3, Month 6, Month 9, Month 12
Impact on well-being according to speciality
Differentiated impact on well-being according to speciality measured by the total score on the WEMWBS (Warwick-Edinburgh Mental Well-being Scale, a self-questionnaire. 5 point Likert scale (1-4); 14 questions), analyzed via Group x Speciality interaction effect.
Time frame: Measured at baseline, Month 3, Month 6, Month 9, Month 12
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